Individual
JOHN LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1920 DUNBARTON DR, JACKSON, MS 39216-5001
(601) 982-5376
Mailing address
97 MOSS WOODS DR, MADISON, MS 39110-9163
(601) 955-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8344
MS
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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